CASEY ELIZABETH WILFORD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051781

License Status

EXPIRED

Business

First Name

CASEY

Middle

ELIZABETH

Last Name

WILFORD

Suffix

Business Name

CASEY ELIZABETH WILFORD MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007